Imaging features of ovarian metastases from colonic adenocarcinoma in adolescents.

Abstract:

:This paper describes the imaging features of ovarian metastases from adenocarcinoma of the colon in adolescent females. We reviewed retrospectively abdominal and pelvic computed tomographic and pelvic ultrasound examinations, histologic slices, and clinical charts of six adolescent females with ovarian metastases secondary to adenocarcinoma of the colon. One patient had ovarian metastasis at presentation and was presumed to have a primary ovarian tumor. The ovarian metastases were either solid (n = 3), complex with both solid and cystic components (n = 2), or multilocular cysts (n = 1). The ovarian lesions were large, ranging from 6 cm to 18 cm in diameter. Colorectal carcinoma in adolescent females is frequently associated with ovarian metastases. One imaging characteristic differs in adult and adolescent ovarian metastases, although they do have features in common: in adolescents, a smaller proportion of colorectal ovarian metastases are multicystic (17%) compared with the adult series (45%). These lesions are frequently large and may be complex, multicystic, or solid. Although it is a rare disease, the differential diagnosis of adnexal masses in adolescent females should include ovarian metastases from adenocarcinoma of the colon.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

Kauffman WM,Jenkins JJ 3rd,Helton K,Rao BN,Winer-Muram HT,Pratt CB

doi

10.1007/BF02011103

subject

Has Abstract

pub_date

1995-01-01 00:00:00

pages

286-8

issue

4

eissn

0301-0449

issn

1432-1998

journal_volume

25

pub_type

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